reduced payment allowance
Defined in 1 place of the United States Code.
In clause (i), the term “reduced payment allowance” means, with respect to an action—
(I) under subsection (b)(8)(B) of this section, the inherently reasonable charge established under subsection (b)(8) of this section;
(II) under subsection (b)(10)(A), (b)(11)(B), (b)(11)(C)(i), (b)(14)(A), or (b)(15)(A) of this section or under section 1395l(l)(3)(B) of this title, the prevailing charge for the service after the action; or
(III) under subsection (b)(11)(C)(ii) of this section, the payment allowance established under such subsection.
Source
- 2013–201642 U.S.C. § 1395UThe Public Health and Welfare · Provisions relating to the administration of part B · under this part
In clause (i), the term "reduced payment allowance" means, with respect to an action—
(I) under subsection (b)(8)(B) of this section, the inherently reasonable charge established under subsection (b)(8) of this section;
(II) under subsection (b)(10)(A), (b)(11)(B), (b)(11)(C)(i), (b)(14)(A), or (b)(15)(A) of this section or under section 1395l(l)(3)(B) of this title, the prevailing charge for the service after the action; or
(III) under subsection (b)(11)(C)(ii) of this section, the payment allowance established under such subsection.
Source
- 1994–201442 U.S.C. § 1395UThe Public Health and Welfare · Provisions relating to the administration of part B · under this part
In clause (i), the term “reduced payment allowance” means, with respect to an action—
(I) under subsection (b)(8)(B), the inherently reasonable charge established under subsection (b)(8);
(II) under subsection (b)(10)(A), (b)(11)(B), (b)(11)(C)(i), (b)(14)(A), or (b)(15)(A) or under section 1395l(l)(3)(B) of this title, the prevailing charge for the service after the action; or
(III) under subsection (b)(11)(C)(ii), the payment allowance established under such subsection.
Source
- 2016–present42 U.S.C. § 1395UThe Public Health and Welfare · Provisions relating to the administration of part B · under this part
In clause (i), the term "reduced payment allowance" means, with respect to an action—
(I) under subsection (b)(8)(B), the inherently reasonable charge established under subsection (b)(8);
(II) under subsection (b)(10)(A), (b)(11)(B), (b)(11)(C)(i), (b)(14)(A), or (b)(15)(A) or under section 1395l(l)(3)(B) of this title, the prevailing charge for the service after the action; or
(III) under subsection (b)(11)(C)(ii), the payment allowance established under such subsection.
Source
- 2016–202342 U.S.C. § 1395UThe Public Health and Welfare · Provisions relating to the administration of part B · under this part